Individual
ANGELA LOIACONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4 BUENA VISTA AVE, QUEENSBURY, NY 12804-1229
(518) 798-3749
Mailing address
4 BUENA VISTA AVE, QUEENSBURY, NY 12804-1229
(518) 798-3749
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028772
NY
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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